CALIFORNIA HEART EASTBAY MEDICAL GROUP
NPI 1619971165
Specialist in Concord, CA

NPI Status: Active since June 10, 2005

Contact Information

2485 HIGH SCHOOL AVE
STE 312
CONCORD, CA
ZIP 94520
Phone: (925) 676-2600
Fax: (925) 680-0212

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  • Organization
  • Specialist

About CALIFORNIA HEART EASTBAY MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for California Heart Eastbay Medical Group, a provider established in Concord, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1619971165 assigned on June 2005. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as California Heart Eastbay Medical Group. The authorized official of this NPI record is Mrs. Jacquelyn M Klisiewicz (Business Manager)

NPI
1619971165
Provider Legal Name
CALIFORNIA HEART EASTBAY MEDICAL GROUP
Other Organization Name
CALIFORNIA HEART EASTBAY MEDICAL GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2485 HIGH SCHOOL AVE STE 312 CONCORD, CA 94520
Location Phone
(925) 676-2600
Location Fax
(925) 680-0212
Mailing Address
2485 HIGH SCHOOL AVE STE 312 CONCORD, CA 94520
Mailing Phone
(925) 676-2600
Mailing Fax
(925) 680-0212
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-10-2005
Last Update Date
04-07-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. JACQUELYN M KLISIEWICZ

Authorized Official Title
BUSINESS MANAGER
Authorized Official Phone
(925) 676-2600

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
A35354MEDICARE UPIN (02)CA 
GR0050130MEDICAID (05)CA 
A46100MEDICARE UPIN (02)CA 
ZZZ29067ZMEDICARE PIN (08)CA 
A14263MEDICARE UPIN (02)CA 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1619971165, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
1
Doubled → 2
Pos 8
1
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 2 + 9 + 1 + 8 + 7 + 2 + 1 + 1 + 2 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1619971165.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist
2485 HIGH SCHOOL AVE, STE 100
CONCORD, CA 94520
Specialist
2485 HIGH SCHOOL AVE, SUITE 112
CONCORD, CA 94520
Family Medicine
2485 HIGH SCHOOL AVE, SUITE 208
CONCORD, CA 94520
Podiatrist (Foot & Ankle Surgery)
2485 HIGH SCHOOL AVE, SUITE #123-EAST
CONCORD, CA 94520
Obstetrics & Gynecology (Gynecology)
2485 HIGH SCHOOL AVE, SUITE 227
CONCORD, CA 94520
Nurse Anesthetist, Certified Registered
2485 HIGH SCHOOL AVE, SUITE 227
CONCORD, CA 94520
Internal Medicine (Gastroenterology)
2485 HIGH SCHOOL AVE, SUITE 306
CONCORD, CA 94520
Podiatrist (Foot & Ankle Surgery)
2485 HIGH SCHOOL AVE, SUITE214
CONCORD, CA 94520
Podiatrist (Foot Surgery)
2485 HIGH SCHOOL AVE, SUITE 214
CONCORD, CA 94520
Pharmacist
2485 HIGH SCHOOL AVE, SUITE 100
CONCORD, CA 94520
Internal Medicine (Nephrology)
2485 HIGH SCHOOL AVE, SUITE 311
CONCORD, CA 94520
Specialist
2485 HIGH SCHOOL AVE, SUITE 112
CONCORD, CA 94520
Clinic/Center (Medical Specialty)
2485 HIGH SCHOOL AVE, SUITE 208
CONCORD, CA 94520
Psychiatry & Neurology (Psychiatry)
2485 HIGH SCHOOL AVE, STE 218
CONCORD, CA 94520
Dentist (General Practice)
2485 HIGH SCHOOL AVE, #307
CONCORD, CA 94520
Physical Therapist
2485 HIGH SCHOOL AVE, SUITE 201
CONCORD, CA 94520
Internal Medicine (Cardiovascular Disease)
2485 HIGH SCHOOL AVE, 103
CONCORD, CA 94520
Surgery (Plastic and Reconstructive Surgery)
2485 HIGH SCHOOL AVE, SUITE 222
CONCORD, CA 94520
Plastic Surgery
2485 HIGH SCHOOL AVE, SUITE 222
CONCORD, CA 94520
Internal Medicine (Infectious Disease)
2485 HIGH SCHOOL AVE, # 208
CONCORD, CA 94520

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619971165, enumerated as an "organization" on June 10, 2005.

The provider is located at 2485 HIGH SCHOOL AVE STE 312 CONCORD, CA 94520 and the phone number is (925) 676-2600.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.